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2003, 01-27 Permit App: 03000495 Addition
Project Number: 03000-195 Inv: 1 Application Date: 1/27/2003 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Peanut Use: RES ADD-FAMILY ROOM & EXPAND DINING Contact: GARBERT,GARY D. &DONISE J ROOM Address: 14815 E 13TH AVE C- S -Z: VERADALE,WA 99037 Setbacks: Front Left: Right: Rear: Phone: (509)927-4617 Group Name: Site Information: Project Name: Plat Key: 000715 Name: ELDORA ADD District: F Parcel Number: 45234.2707 Block: Lot: SiteAddress: 14815 E 13TH AVE Owner:Name: GARBERT,GARY D. &DONISE J VERADALE,WA 99037 Address: 14815 E 13TH AVE Location::VER VERADALE,WA 99037 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: ,300.00 Acres Width: 110 Depth: 130 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: ,a, , , 6 Plan Review Released By: ,s Septic System Review Released By: l '�/ i ®_''2' Permits: Operator: JAS Printed By: JAS Print Date: 1/27/2003 Project Number: 03000495 Inv: 1 Application Date: 1/27/2903 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: OWNER Firm: OWNER Phone: Building Characteristics Const Category: Addition Group: Type: Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: Y Building Sq Ft: Sprinklers: Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD R-3 VN 620 $40,920.00 620 $40,920.00 Totals: 620 $40,920.00 620 $40,920.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $496.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $109.12 Permit Total Fees: $609.62 Notes: .. Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $609.62 $609.62 $0.00 $609.62 $609.62 $609.62 $0.00 $609.62 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: JAS Printed By: JAS Print Date: 1/27/2003 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE �i! SPOKANE,WA 99260 509477-3675 SPOIL COUNTY -i SPECIFIC SITE INFORMATION Street Address: Iy8 5- E (a \&adelte. L A Assessor's Tax Parcel Number(s): /45334 b , z-7 o 1 • Legal Description:E 40-1C( t_Y 6 ilk( LT to it.:- ...2 •Project Description: T(1c`- \ -)>1\ k'Yl - *Building Permit 0 Change in Use © Grading O Manufactured Home Permit Cl Relocation CI Sign Cl Tenant(New/Change) CI Other Department Use Only Waotr District/Putiveyor. Sewer District/Purveyor Road widthSetbacks Front hear School Diatrich Fur thahictZoning .left. Right OWNER/APPLICANT INFORMATION (� �^ II Imicate who should be contacted ngardinR this project F nec C1c�. `tJet_ Phone: C3 cci•c\D,-Lk c+ ❑Applicant: Phone: --ru i�`'�JU►`\ Q J Fax: Fax, Mailing Address Mailing Address: \fib\5 E . \- City, tate,Zip City,State,Zip 4 _____ (i -k\ °' ---+— _ 0 Contractor Phone ❑Architect/Engineer Phone (TIA I t l Fax Fax Mailing address Mailing address Cfty,State Zip City,State Zip WA State Contractor license# Contact name: PROJECT INFORMATION Building Information Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft. f Dimensions Total habitable space 2nd floor sq.ft. Finished basement sq.ft / g u :3l) .1>X1b L5 z) Occupancy group Construction type Garage sq.ft Deck sq.ft Cost of project Heat source(electric,gas,etc.) e_Qk,C? CO iso u ��. ee` or ete.,„,•-r „ ., N t y‘ "K Irk bit.tel,f t.tm. CZ 1.ee44 ko e,. b u e Vr 61 1,: sarec 35' 4. 0;' ti ye.i,\c i hic lgi\A-pei afeet. Hew 4 ADDRESS . ,'3. .....6ql 't ., ZONE ii( r� ( 'i( w \1 r 000A ROAD`tIDTH\IA FLANKING FR0tAT --=-- _ COMMS WEDB 1r& 1(11'�� (-.-- i! )0 --f REVI - - _ - ,. ._ _ a3R' froe)1 - _ - - 1_ - - - a0 - - ` - --I eAme i r J 0 „v'.)K, 0 A. Ai e 4 cri+'e: 50' ` aye I • - - - - - "7—T— 1412' _._-- *--i S' ) el\` , Lt_, \ 1)° ec-P 7r t M r t in I 4. i (\e-12-"--S ca , iThis s to I,1=-1- it 17:-.!ng s ihmltted for thnpurpose of A `pbt a dHtg permit and is a tine and correct repres,-r at on of the proposal.All known property linesidimensions:curb lines,structures and easements hay , ,tifed.Also indicated are we`'ards, , bodle;of rater,steep slopes or oth r critical areas. Signe Cate ,\,'-'qate__